2018
DOI: 10.1016/j.virol.2018.07.011
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Strength in diversity: Understanding the pathways to herpes simplex virus reactivation

Abstract: Herpes simplex virus (HSV) establishes a latent infection in peripheral neurons and can periodically reactivate to cause disease. Reactivation can be triggered by a variety of stimuli that can activate different cellular processes to result in increased HSV lytic gene expression and production of infectious virus. The use of model systems has contributed significantly to our understanding of how reactivation of the virus is triggered by different physiological stimuli that are correlated with recrudescence of … Show more

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Cited by 95 publications
(80 citation statements)
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References 153 publications
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“…Of note, our PCR assay showed co-detection of HSV-1 in CSF, this finding was however not in keeping with negative findings on brain MRI and EEG as well as the patient's overall clinical improvement in the absence of antiherpetic therapy. Given that the patient was HSV-1 IgG-seropositive, we presume that co-amplification of the HSV-1-associated target gene resulted from bystander reactivation of the virus initiated by adjunctive dexamethasone and/or the sympathetic response to the bacterial infection [14]. Secondary reactivation of Herpesviruses in response to disease stress and local inflammation has been previously inferred in some cases of CNS infections [15,16].…”
Section: Discussionmentioning
confidence: 81%
“…Of note, our PCR assay showed co-detection of HSV-1 in CSF, this finding was however not in keeping with negative findings on brain MRI and EEG as well as the patient's overall clinical improvement in the absence of antiherpetic therapy. Given that the patient was HSV-1 IgG-seropositive, we presume that co-amplification of the HSV-1-associated target gene resulted from bystander reactivation of the virus initiated by adjunctive dexamethasone and/or the sympathetic response to the bacterial infection [14]. Secondary reactivation of Herpesviruses in response to disease stress and local inflammation has been previously inferred in some cases of CNS infections [15,16].…”
Section: Discussionmentioning
confidence: 81%
“…VP16 forms a transactivation complex binding in the cytoplasm host cell factor-1 (HCF-1) (protein that contains a nuclear localization sequence), and in the nucleus the homeodomain protein Octamer binding protein-1 (Oct-1). These proteins form a trimeric complex able to activate the immediate early (IE) gene expression [19]. Successful lytic replication is dependent on the expression of the viral IE genes within all infected cells.…”
Section: Pathogenesismentioning
confidence: 99%
“…Hence, for reactivation to occur, viral lytic gene expression is induced from promoters that are assembled into heterochromatin and in the absence of viral proteins, such as VP16, which are important for lytic gene expression upon de novo infection. Reactivation is therefore dependent on the host proteins and the activation of cellular signaling pathways 3 . However, the full nature of the stimuli that can act on neurons to trigger reactivation and the mechanisms by which expression of the lytic genes occurs have not been elucidated.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, multiple studies have linked persistent HSV-1 infection to the progression of Alzheimer’s disease 2 . Stimuli in humans that are linked with clinical HSV-1 reactivation include exposure to UV light, psychological stress, fever and changes in hormone levels 3 . How these triggers result in reactivation of latent HSV-1 infection is not fully understood.…”
Section: Introductionmentioning
confidence: 99%